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Residential Care and Assisted Living Compendium: 2007
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Author(s): Robert Mollica, Kristin Sims-Kastelein and Janet O'Keeffe |
Organization(s): RTI International |
This 2007 compendium describes regulatory provisions and Medicaid policy for residential care settings in all 50 states and the District of Columbia. It updates an earlier report completed in 2004. Information was collected between February and November 2007 by reviewing state websites and regulations, and calling key state contacts to verify information. Section 1 provides an overview of residential care and assisted living policy. Section 2 presents six tables, which compare states' policy in selected areas. Section 3 provides summaries of each state's regulations and policy for residential care settings, including assisted living facilities. [507 PDF pages] |
Published: November, 2007 |
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The Size and Characteristics of the Residential Care Population: Evidence from Three National Surveys
(Report)
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Author(s): Brenda C. Spillman and Kirsten J. Black |
Organization(s): Urban Institute |
This report is the second of two prepared as part of a project to better understand the size and characteristics of the long-term care population in all settings. Identified were three recently federally supported surveys--the 2002 Health and Retirement Survey, the 2002 Medicare Current Beneficiary Survey Cost and Use file, and the National Long-Term Care Survey--as being best suited for the purpose because of their focus on the older population and data elements that allow identification of residential care alternatives by name, services available, or both. In this report, the authors report on their analysis of these surveys and discuss the implications of our findings for improving collection of data on residential settings. [55 PDF pages] |
Published: January, 2006 |
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State Residential Care and Assisted Living Policy: 2004
(Report)
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Author(s): Robert Mollica, Heather Johnson-Lamarche and Janet O'Keeffe |
Organization(s): Research Triangle Institute |
This 2004 compendium describes regulatory provisions and Medicaid policy for residential care settings in all 50 states and the District of Columbia. It updates an earlier report completed in 2002. Information was collected between February and June 2004 by reviewing state websites and regulations and calling key state contacts to verify information. Section 1 provides an overview of residential care and assisted living policy. Section 2 presents six tables, which compare states' policy in selected areas. Section 3 provides summaries of each state's regulations and policy for residential care settings, including assisted living facilities. [499 PDF pages] This report was updated in 2007; see "Residential Care and Assisted Living Compendium: 2007" at http://aspe.hhs.gov/daltcp/reports/2007/07alcom.htm. |
Published: March, 2005 |
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The Size of the Long-Term Care Population in Residential Care: A Review of Estimates and Methodology
(Report)
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Author(s): Brenda C. Spillman and Kirsten J. Black |
Organization(s): Urban Institute |
This report examines the differences in estimates of the older population in residential care by analyzing key national surveys. In it the authors present results of a review of existing estimates of the number of residential care settings, generally divided into nursing homes and alternative residential care settings, and the number of persons residing in them. The review has three purposes. First, the authors describe the data that have been used to generate estimates and summarize the range of estimates. Second, they identify methodological issues that contribute to differences among estimates, focusing on those that can be investigated using available national surveys. Finally, the authors identify surveys that appear to offer the best opportunity to conduct such an investigation and to provide a better understanding of the size and characteristics of the residential care population and insights into how collection of data on residential care settings can be improved. [52 PDF pages] |
Published: February, 2005 |
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Estimates of the Risk of Long-Term Care: Assisted Living and Nursing Home Facilities
(Report)
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Author(s): Timothy A. Waidmann and Seema Thomas |
Organization(s): Urban Institute |
The goal of this report is to identify the individual-level factors associated with nursing home and assisted living entry and determine whether and how they differ. While it is possible to estimate a simple model of entry into these facilities at some point in the observation period, a more useful model would make use of data on elapsed time until such a transition. Such a model makes better use of the data and differentiates delayed entry from early entry into a facility. Survival analysis is a natural candidate that allows us to build into our models several key features including right censoring and competing risks. [24 PDF pages] |
Published: July, 2003 |
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State Experiences with Minimum Nursing Staff Ratios for Nursing Facilities: Findings from the Research to Date and a Case Study Proposal
(Report)
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Author(s): Jane Tilly, Kirsten Black, Barbara Ormond, Jennie Harvell |
Organization(s): Urban Institute
Department of Health and Human Services |
This paper reports on (1) what is known about the status of minimum nursing staff ratios, and (2) gaps in knowledge about this type of nursing staff standard and its implementation. To achieve consistency in discussion of the great variety of approaches that states have taken, the authors have imposed the following terminology: They use the term "requirements" to refer to federal staffing requirements; "nursing staff standards" to refer to all of the different types of standards that states use (federal requirement by default, professional coverage standards that do not involve ratios, and ratios); and "nursing staff ratios" to refer to the three types of ratios that are the focus of this study--hours per resident day, staff-to-residents, or staff-to-beds. The paper also describes a qualitative case study methodology for addressing the outstanding questions. [17 PDF pages] |
Published: February, 2003 |
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Medication Use in Long-Term Care Facilities and Community Settings for Medicare Beneficiaries with Cardiovascular Disease
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Author(s): Becky Briesacher, Jalpa Doshi, Bruce Stuart and Ilene Zuckerman |
Organization(s): University of Maryland |
This report compares medication use in long-term care facilities and community settings for Medicare beneficiaries with heart conditions. The purpose of this comparison was to evaluate the utility of a new file of institutional drug use in the Medicare Current Beneficiary Survey (MCBS), the premier source of health care information on the Medicare population. Descriptions of medication use include the prevalence of drugs from 12 cardiovascular drug classes and 28 other major therapeutic drug categories. Characteristics of beneficiaries include type of heart disease, co-morbidities, functional levels and health status, demographics, Medicare supplemental coverage, and regional residence. |
Published: December, 2002 |
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Trends in Residential Long-Term Care: Use of Nursing Homes and Assisted Living and Characteristics of Facilities and Residents
(Report)
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Author(s): Brenda C. Spillman, Korbin Liu and Carey McGilliard |
Organization(s): Urban Institute |
In this paper, the authors use data from the Medicare Current Beneficiary Survey, which represents the full Medicare population, regardless of living arrangement, to describe characteristics of elderly residents of both types of facility and the characteristics of the facilities. Our sample is limited to beneficiaries age 65 or older. They compare the characteristics of the two populations and types of facilities and explore changes in those characteristics between 1992 and 1998. Individual characteristics examined include measures of health, activities of daily living, and age of individuals in nursing homes and assisted living facilities. The size, ownership and service package of the facilities where they live is also compared. [31 PDF pages] |
Published: November, 2002 |
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Michigan's Transitioning Persons from Nursing Homes to Community Living Program
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Author(s): Steve Eiken, Brian Burwell and Anthony Asciutto |
Organization(s): MEDSTAT Group |
This paper--which is one of a series of Appendices included in the demonstration's final report--describes a case study of the Michigan Nursing Home Transition Demonstration program. It is based on a two-day site visit conducted in January 2001, follow-up interviews in January 2002, and written reports from the State of Michigan and the Michigan Association of Centers for Independent Living. The report describes the program under the Centers for Medicare and Medicaid Services grant, the program's transition to a state-funded grant, and the program's results. The report then discusses how program staff responded to barriers to successful transition, and how nursing home transition funding continued in Michigan. [24 PDF pages] |
Published: July, 2002 |
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Differences Among Services and Policies in High Privacy or High Service Assisted Living Facilities
(Report)
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Author(s): Charles D. Phillips, Catherine Hawes and Miriam Rose |
Organization(s): Texas A&M University
Myers Research Institute |
The focus of this short analytic report differs in that it attempts to address, at least in an initial fashion, what types of assisted living facilities, among those in our sample, have characteristics that might be appealing to either consumers or policymakers focusing on consumers' needs. These analyses involved comparing the three groups of facilities that the research team considered most representative of the philosophy of assisted living in that they offered more than minimal levels of both services and privacy. |
Published: November, 2000 |
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